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187180

Neonatal Rebound Hyperbilirubinaemia after Intensive Phototherapy in Correlation with Mother Blood Group and Neonatal Weight

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Last updated: 28 Dec 2024

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Abstract

Neonatal jaundice is one of the most common diagnoses in the neonatal period; it is estimated to occur in 60% of term newborns in the first week of life. In rare instances, the Total Serum Bilirubin (TSB) reaches levels that can cause kernicterus, a condition characterized by bilirubin staining of neurons and neuronal necrosis involving primarily the basal ganglia of the brain and manifested in athetoid cerebral palsy, hearing loss, dental dysplasia, and paralysis of upward gaze, We conducted a prospective study to detect the serum rebound bilirubin among term And preterm newborns diagnosed with neonatal hyperbilirubinaemia who were admitted to the NICU of Al-Galaa Teaching Hospital and NICU of Pediatrics department of Banha University Hospital, requiring double surface, and intensive phototherapy treatment. This was a prospective study to detect the serum rebound bilirubin among100 term & preterm newborns diagnosed with neonatal hyperbilirubinemia who were admitted to the NICU of Banha University Hospital and AL-Galaa Teaching hospital, requiring double intensive phototherapy treatment. This study is from April 2015 to December 2018, Total Serum Bilirubin 4 -48 hours after discontinuation of phototherapy, significant bilirubin rebound is considered with increased by 2.04 mg/dL after stopping phototherapy and needing readmission. There were no significant differences between neonates with rebound hyperbilirubinemia and those without as regard birth weight (P value = 0.745), There was no significant difference between discharge level (4-48hour post intensive photo) (10.0) and after intensive phototherapy level (9.72), we concluded that It is not necessary to keep infants in the hospital to check for rebound because of rare instance of serum billirubin rebound but clinical follow-up 24 to 48 hours later is important furthermore follow up for a risk factor group is a must and keep infant in the hospital should be taken into consideration.

DOI

10.21608/bjas.2019.187180

Keywords

Neonatal hyperbilirubinemia, Rebound Bilirubin, Prospective study, NICU

Authors

First Name

B.E.

Last Name

M.Hassanein

MiddleName

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Affiliation

Pediatrics Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

O.Abu

Last Name

Al-Fotouh

MiddleName

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Affiliation

Pediatrics Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.A.

Last Name

Othman

MiddleName

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Affiliation

Pediatrics Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

A.M.

Last Name

El Khashab

MiddleName

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Affiliation

Neonatal Dept., AL Galaa Teaching Hospital , Egypt

Email

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City

-

Orcid

-

Volume

4

Article Issue

2

Related Issue

23363

Issue Date

2019-03-01

Receive Date

2019-08-03

Publish Date

2019-03-01

Page Start

81

Page End

87

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_187180.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=187180

Order

13

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Neonatal Rebound Hyperbilirubinaemia after Intensive Phototherapy in Correlation with Mother Blood Group and Neonatal Weight

Details

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Article

Created At

23 Jan 2023